Active NPI
Pathways Behavioral Health Care
- Adolescent and Children Mental Health Clinic/Center
- Raymore, MO
National Provider Identifier
1871992206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 2000165271
- Legal business name
- PATHWAYS BEHAVIORAL HEALTH CARE
- Practice address
- 1010 Remington PLZ
Raymore, MO 64083-8640 - Phone
- (816) 318-4430
- NPI assigned
- Aug 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandy Fuller
- Title
- Billing Clerk
- Phone
- (660) 890-8076
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 2000165271 | MO | Primary |
| Health Maintenance Organization | 302R00000X | 2000165271 | MO |
Addresses
Primary practice location
1010 Remington PLZ
Raymore, MO 64083-8640
Mailing address
211 J St Apt C1
Creighton, MO 64739-9771
Phone (816) 372-2652
National Provider Directory
National Provider DirectoryLocations
1010 Remington Plz
Raymore, MO 64083
Phone (816) 318-4430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408579200000",
"number": "1871992206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 J ST APT C1",
"city": "CREIGHTON",
"state": "MO",
"postal_code": "647399771",
"telephone_number": "816-372-2652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 REMINGTON PLZ",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640838640",
"telephone_number": "816-318-4430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS BEHAVIORAL HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "BRANDY",
"authorized_official_title_or_position": "BILLING CLERK",
"authorized_official_telephone_number": "660-890-8076"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MO",
"license": "2000165271",
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MO",
"license": "2000165271",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.